<!DOCTYPE HTML>
<html>
<head>
    <meta charset="utf-8">
    <meta name="renderer" content="webkit|ie-comp|ie-stand">
    <meta http-equiv="X-UA-Compatible" content="IE=edge,chrome=1">
    <meta name="viewport" content="width=device-width,initial-scale=1,minimum-scale=1.0,maximum-scale=1.0,user-scalable=no" />
    <meta http-equiv="Cache-Control" content="no-siteapp" />
    <title><{config_item('manager_title')}></title>
    <link href="/public/H-ui/css/H-ui.min.css" rel="stylesheet" type="text/css" />
    <link href="/public/H-ui/css/H-ui.admin.css" rel="stylesheet" type="text/css" />
    <link href="/public/H-ui/hui-iconfont/iconfont.css" rel="stylesheet" type="text/css">
</head>
<body>
<div>
    <form action="<{site_url('/seller/order/withdraw/save')}>" method="post" class="form form-horizontal" id="add" enctype="multipart/form-data">
        <div class="row cl">
            <label class="form-label col-3">账户余额</label>
            <div class="formControls col-5">
                ￥<{$member_user_data.balance}>
            </div>
        </div>
        <div class="row cl">
            <label class="form-label col-3"><span class="c-red">*</span>提现金额：</label>
            <div class="formControls col-5">
                <input type="text" class="input-text" value="" name="amount" placeholder="本次最多可以提现￥<{$member_user_data.balance}>" datatype="price" nullmsg="请输入提现金额" errormsg="金额格式错误">
            </div>
        </div>
        <div class="row cl">
            <label class="form-label col-3">提现方式：</label>
            <div class="formControls col-5">
                <span class="select-box">
                    <select name="type" class="select" onchange="select_type(this.value)">
                        <option value="1">银行卡</option>
                        <option value="2">支付宝</option>
                        <option value="3">微信</option>
                    </select>
				</span>
            </div>
        </div>
        <div class="row cl">
            <label class="form-label col-3"><span class="c-red">*</span>姓名：</label>
            <div class="formControls col-5">
                <input type="text" class="input-text" value="" name="name" datatype="*" nullmsg="姓名不能为空">
            </div>
        </div>
        <div class="row cl" id="bank_name">
            <label class="form-label col-3"><span class="c-red">*</span>银行开户行：</label>
            <div class="formControls col-5">
                <input type="text" class="input-text" value="" name="bank_name">
            </div>
        </div>
        <div class="row cl">
            <label class="form-label col-3"><span class="c-red">*</span>账号：</label>
            <div class="formControls col-5">
                <input type="text" class="input-text" value="" name="pay_number" datatype="*" nullmsg="账号不能为空">
            </div>
        </div>
        <div class="row cl">
            <label class="form-label col-3">备注：</label>
            <div class="formControls col-5">
                <input type="text" class="input-text" value="" name="note">
            </div>
        </div>
        <div class="row cl">
            <div class="col-10 col-offset-2">
                <input type="hidden" name="id" value="">
                <button onClick="$('#add').submit();" class="btn btn-primary radius" type="submit"><i class="Hui-iconfont">&#xe632;</i> 保存</button>
                <button onClick="layer_close();" class="btn btn-default radius" type="button">&nbsp;&nbsp;取消&nbsp;&nbsp;</button>
            </div>
        </div>
    </form>
</div>
</div>
<script type="text/javascript" src="/public/js/jquery.js"></script>
<script type="text/javascript" src="/public/js/validform.js"></script>
<script type="text/javascript" src="/public/js/layer/layer.js"></script>
<script type="text/javascript" src="/public/js/form.js"></script>
<script type="text/javascript" src="/public/H-ui/js/H-ui.js"></script>
<script type="text/javascript" src="/public/H-ui/js/H-ui.admin.js"></script>
<script type="text/javascript" >
    //验证表单
    $(function(){
        $.Tipmsg.r=null;
        $("#add").Validform({
            tiptype:function(msg){
                layer.msg(msg);
            },
            tipSweep:true,
            ajaxPost:true,
            callback:function(data){
                if(data.status=="y"){
                    layer.msg('申请成功');
                    setTimeout(function(){
                        layer_close();
                    },2000)
                }
            }
        });
    })

    //选择银行显示姓名和开户行
    function select_type(type){
        if(type!=1){
            $('#bank_name').hide();
        } else {
            $('#bank_name').show();
        }
    }
</script>
</body>
</html>